Investigation of Plantar Pressure Distribution in Overweight and Obese Individuals

Abstract

ÖZ ABSTRACTAmaç: Aşırı kilolu/obez bireylerde ortopedik ayak hastalıkları insidansı ve prevelansındaki artış, bu bireylerin plantar basınç dağılımındaki değişiklikler ile ilişkili olabilir. Bu nedenle, bu çalışmanın amacı, aşırı kilolu/obez bireylerde plantar basınç dağılımının araştırılmasıdır.Yöntemler: Bu çalışma 19-62 yaş aralığında 94 sağlıklı bireyin katılımı ile gerçekleşti. Bireyler vücut kütle indekslerine (VKİ) göre normal kilolu (18,5 kg/m 2 <VKİ <25 kg/m 2 ) ve aşırı kilolu/obez (VKİ≥25 kg/m 2 ) olmak üzere iki gruba ayrıldı. Değerlendirilen bireylere ait statik ayak plantar basınç dağılımı ve kuvvet ölçümleri MatScan Sistemleri kullanılarak değerlendirildi (Tekscan, Inc., South Boston, Massachusetts, USA).Bulgular: Aşırı kilolu/obez grubun total temas alanı (p<0,001) ve orta ayak tepe kuvvet değerinin (p<0,001) normal kilolu gruba göre yüksek olduğu bulundu. Kilo ile tepe basınç (r=0,23, p=0,026), ortalama basınç (r=0,24, p=0,018) ve orta ayak tepe kuvvet (r=0,35, p=0,001) arasında düşük düzeyde ilişki; kilo ile topuk tepe kuvvet (r=0,47, p<0,001) arasında orta düzeyde ilişki; kilo ile total temas alanı (r=0,79, p<0,001) arasında ise kuvvetli ilişki olduğu tespit edildi.Sonuç: Elde edilen sonuçlar, aşırı kilolu/obez bireylerin total temas alanı ve orta ayak tepe kuvvetinde normal kilolu bireylere göre artış olduğunu göstermektedir. Anahtar Sözcükler: Ayak, basınç, obezite, vücut kütle indeksiObjective: The increase in the incidence and prevalence of orthopaedic foot diseases may be related to changes in the plantar pressure distribution in overweight/obese individuals. Therefore, the purpose of the present study was to investigate the plantar pressure distribution in overweight/obese individuals. Methods:The study included a total of 94 individuals between the ages of 19 and 62 years. Individuals were divided to two groups according to body mass index (BMI) as normal weight (BMI<25 kg/ m 2 ) and overweight/obese (BMI≥25 kg/m 2 ). Static plantar pressure distribution and force measurement were assessed using MatScan System (Tekscan, Inc., South Boston, Massachusetts, USA). Results:The total contact area (p<0.001) and midfoot maximum force (p<0.001) increased in overweight/obese individuals compared to normal weight individuals. Weight of individuals had a low correlation with peak pressure (r=0.23, p=0.026), mean pressure (r=0.24, p=0.018), midfoot maximum force (r=0.35, p=0.001) and metatars maximum force (r=0.36, p<0.001), and a moderate correlation with heel maximum force (r=0.47, p<0.001), and a strong correlation with contact area (r=0.79, p<0.001). Conclusion:Obtained results show that total contact area and midfoot maximum force in overweight/obese individuals increased compared to normal weight individuals.

Clinical Characteristics of Iraqi Women Who Had Plantar Fasciitis

“…Furthermore, you can see twenty women (11.7%) who had a BMI over 35% in the age group (40-49) years. Besides, there were a similar number of obese women; eight women (0.4%) in the age groups (30-39 years) and ( 50 and only five women (0.2%) in the older age group (60-69) years [9]. Table 2 and figure2 declare the relation of three selected variables relative to age groups (years)(N=170).…”

Prevalence and Association of Risk Factors for Plantar Fasciitis Among Nurses in Government Tertiary Care Hospitals of Peshawar

“…In summary, while our study found no significant prevalence of plantar fasciitis among nurses based on the scoring scale, there was a notable association with the use of high-heeled shoes, indicating a potential risk factor. These findings underscore the importance of ergonomic considerations in nursing footwear to mitigate the risk of plantar fasciitis and enhance the overall well-being of nursing professionals (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

“…The Visual Analogue Scale (VAS) and the Plantar Fasciitis Pain and Disability Scale (PFPS) were utilized to assess pain intensity and disability. The VAS measured pain on a scale of 0 to 100 points, with cut-off points for pain intensity classified as no pain (0-4 mm), mild pain (5-44 mm), moderate pain (45-74 mm), and severe pain (75-100 mm) (7). A PFPS score greater than 35 points indicated significant heel pain due to plantar fasciitis.…”

“…Plantar fasciitis has been associated with increased body weight, decreased ankle dorsiflexion, and biomechanical abnormalities such as a tight Achilles tendon (13). Additionally, factors like foot posture, pressure distribution, and lower extremity alignment significantly contribute to the development of plantar fasciitis (7). In clinical settings, plantar fasciitis is diagnosed based on symptoms such as pain, burning, and tenderness at the medial tubercle of the calcaneum.…”

Enhancing the differentiation of walking and standing via the ratio of plantar pressures

“…All participants declared that the right limb was the dominant limb, and no prior lower limb injuries or abnormities that may affect normal walking and standing. In addition, since BMI and foot arches have important effects on the plantar pressure, so the inclusion criteria for participants also required they had normal weights with BMI < 25 kg/m 2 14 and normal arch feet with arch index falling inside (0.2, 0.28). 15 After signing written informed consents, The experiments were conducted in a research laboratory belonging to College of Automation of NJUPT.…”